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Common side effects include: nausea vomiting diarrhoea constipation As with injections, these side effects are usually mild and often improve as your body adjusts

Some factors that influence how long the shot lasts include: Lifestyle and stress levels Diet and alcohol consumption Existing health conditions (e.g., pernicious anemia, digestive disorders) How quickly your body uses or excretes B12 If your energy starts fading or symptoms return before your next scheduled shot, let your provider know

And when you do eat, you fill up fast, often choosing whatever is convenient rather than what your body actually needs

Specialty Drugs and the Broader Cost Surge in Employer Benefits GLP-1s get the headlines, but theyre part of a broader specialty drug trend thats reshaping employer health care cost trends for 2026 and beyond

For example, four 10mg vials reconstituted one at a time provide 112 days of dosing at full potency